GW1--01098_Well Construction - GW1_20240216

Feb 151905;g3p ClealwaterWallDrffiing 1328.82217241 w
L-
WE„---CONS INCTIIJI<YOOT f.QM 1 Tor lntemo!Use drip
I. a fnatt7ttlQrtotalisator 1 , I _
To 1
1Vrtt(otttrataalrfame 1.L., .r'_:�:it
:4: ell Camretlort:etNReelWnNumber ?( t�ttbe �,,, 1 ' 1=, f e
21LDrt11ir moo , � :r
hr(IRirYN,nnc ir:
�, 1: rSwattlQ>1Mt�1
C to atl a1AINA%
2.1Ye11 Caaslrnallon!emit StA)v� � �
0. f 1 .
List all o�r11m11(riwllcntlttfrXGNolipalRtltt flu.WO,UIC,CmtR{y,$(atg Yarlrouw ar�J
3.Welt lr c(dwelt well no): tr. to
WaterSap�Weq: Z. '. .,: • I
to m tftu df�7 '431 ..8 MJ�,FIA..
a Agricuttaral DMonlaipnvPubiia (? tr ft. r
1S Ocottan ndl gicatinWCotdingStgtply) `4 •ethical*watarSuPpiy(singicr ft. ' cs. le.
1 fndusttiallCottmletabal +�R,atdaaial WatcrSupp1y(shsrat) ;,gy p I
i ftT111atina _ ►-.
To -•A�sfslirfkt- ' .0 }yl{'tTtlll►i�AMootru
- . -._ I fir. ` i a. /.t 1 'i�A1
Nnq 14'afar5nppiyVFop.T' ��
'W Monitoring QReao"very t+-
njectIon l- '�'�� — n. R. I
t�1' ' Ira Ree1IE c Daroundwatcr Rcmcdiatinn .
y�gpttiDlfi9AV61.PAC ,;i,....:_, I
a I Aquifer Stomp MI Recovery flsalinily Bateiu , . To NI.5 :�.y
a AquiterTc t f Stir nnvater Drefpugo fLel. ' -
*lgperlmental Teelmology► osubaidr uaa Contra! ft. ft' I .
I!Geothermal(Closed Loop) [Cr ' r 1': 1 i' ...Li. . •...... t&., ..%,;'.tgrowyftsfakiutorlyr
N C>amellani H . , :,, oolin.Rconm) 11 aiber eft'loin underi121 Remarks `' It. 1, , ft.. •Q, p�• `r' `i 1
1.Date Weil i)Completed;1 —Q -a y Wet111)N _L4t gr. -31 m l.S, t, _.
Rm.Welt Loonflon:
•
att t -rn r t ic- 1 D. cam+(J S 1t
Cha
Reitityl(Swne;Noma . Fadlfly Mil Of oplIcA111e) II. O' I I
eteopc.L.D4_1.01P.JAAred-- R.. ft.
P sad Aderots,Chy,A 21p kic,
C:aunt,, l4wel fdamifieetionNo.(Pfs) `, I
S-S z[' �r no*�.:M:rBCE
tivtt Sb. itilde and lenkRndeintlagr emhnttes/secondsordecimal*Sl m - `" -
Gtwa3lfrFid,ontetllonoisanfarJcnf) , :V. ertirtattimt: Calfvt?ir3r3E3
6.Marc)the wdi(t1 i'is tdattmt or Eremporary ic,apreog (urn,I 1;in.Ayoare,Qr shut Ora Welty}Le Own)oxvintrial a acameav r
7.1,lids a repair ni at1 eldlflogivellt G..t cs or pro Wilt ISA:t7� -02C.Q1th7orISA 11[( r MIC.ON10 FP 1CaltthartiairMaMiarrh pudthan a
iffhitirrmlrah;,(1Nourlhmioo walbeanarmulonU rmurinna =pl'ain&emrareelm, a'AYafihfsnr abate,P1TP edinthalvd.ism:
rcaalrredert21►apnaticcR rfeflnivrtItrehackofflris.(nritt. 13-Sitedbm or additional wall debilkli
R.Fee Gee robelDPT or QaFed-Ln Geothermal WdM bating CommY at may coo the Mk of USAF to ptt►vldo ad�ttotlhi well sits Molls ar wall
m'aviinrctinn nnty I GW 1 in needed f�itdicate TOTAL NUMBER of-wells
mainsail Mails. Ydlt may also attach WI(I pages if neceamr).
drilled,___ -• --• ►N TAL l VtT ,
Fatal watt depth below rand surface: 3V (114 For All Walk SUN)*dtta Sulu main 30 days of completion of quell
Far magpie wNLclLNafidepflteifRjf reatpxmnptenl tarancrzai 6,3 ramsttoctiontothcfollowing:
le.Statbc waterlog/Wow tap of evning: LO 0 (!t) Division atWater Resonrcre.latbrin on Proemoing Unit,
if raw tout isobervntatMe um"•q t 1617'hid ;Center,[GldgitalleaTd99-161?
IA.Demote 11int11Pdlt: ly/ (fn.) 21I1.For nleetion Wells: 10 addition'to sennlig,q the bon 14 the addteam In 24n
I12 Well conetriteI M Micah re-0.0 t above,srt. submit one copy of this fen ni with h 3n days of compidlott or well
ti a,myna^,men.cable,dim:p utt,sta.) ` aHfl$uQrian tttlhefaiToltdtlr
- DlviaMn or Water Rtatnito c,11ndtpronnd 1gjmlion Ceatrid Ptagram.
Poo WATER SEPPVV WELLS ONLY: 1636 M &yoke Qom!,R la g ,1t1C'2764636
1 a.Yield(gpa0 - {!Method of tests • 9 2 For Water Sonntrial(nl oa WCUU 1nl addition to nondbfg the form to
MC Nddlcss(es) about,also submit 0114 copy of dila form Wan 30 days of
13b.D1sinfeetinA type: . Ammon - completion of moil comten tlon to the county 14:W :.kganmeM of tea county
-- nation contracted
Pam'OW-I NorthCuctinnDapatmnntafitnvlrdmuanri1Quality-DivisionetWaterRnooruros Reoi o92-22dotb
I
I

Will Mar Soltifirout CArdliddon
L0 Mb( Newwel \/.
� a D� Repair
Illerebyrertrythatiheabove refeavacedwei was gmmedin appearance In with
all County-We rake
wen Dam Mar 4- fl Slued:
certificamp, 354?)--zi8r na t; 1 -q -a(+
Constructkor Grog
TAD S� , Ty a4`Y AA
pvc d: . N\J cI
CasingDepec ,- sao I .
(`t
Wdenfrhide
Height
Drive Shoe:
GPM